00022855 (MISC)APPLICANT NAME (L, F, MI)
'ALM DESERT.''DEV E.0 Y
ADDRESS.
980 AVE VALL EEO
�:4�c°QU I i �A CA 922530000
Ik�.IQBI �E 6SRESSISPACE AVE V LLEJO
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LICNC p
'ADDRESS
;CITYICOMMUNITY/STATEIZIP
PHONE p '
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC p
ADDRESS
CITYICOMMUNITYISTATEIZIP
PLANS EXAMINERAPPROVE
DATE
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CA
'CK
NC
I COUNTER B.I.
COUNTER L.U.T.
APPLICATION FOR GRADINC PERMIT
,'.. T 13 1 AN AP FAL, ,CA1'1 DN 0 N L Y
i
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33 Ventilation System
2
Ftgs 8 Frms
34 Plenums & Ducts
2A
Slab Grade
35 Furnace Comport.
3
Steel
36 Inlets 8 Outlets
4
Grout Blocks
37 Combustion Air
5
Bond Beams
38 Compressor
6
Roof Deck
39 Appl. Clearance
7
Framing
40 Fire Damper
8
Vents
41 Smoke Detection Device
9
Garage Fire Wall
42 Commercial Hood
10
Fireplace P. L. ❑
43 Final
IDA
Fireplace T.O.
FI
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
}4 Flnal
PLUMBING APPROVALS
15 Ground Plumb
T6 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
PSL
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
y. STREET NAME
PERMIT APPLICATION
a
County of Riverside
Department of Building and Safety
4080 Lemon SI. 2nd Floor 135 N. Alessandro Rd. Rm. 207 880 N. Slate Street 227 North "0" Street 46.209 Oasis St. Rm. 310 160 N. Broadway
Riverside, CA 92501 Banning. CA 92220 Hemet. CA 92343 Perris. CA 92370 Indio. CA 92201 Blythe. CA 92225
Ph: 787.6146 Ph: 849-7312 Ph. 658.4464 Ph: 657.7898 Ph: 342-8271 Ph: 922.2670
This permit becomes void i1 work nor commenced within 180 days Irom dale o1 issuance. OR. it work has beer suspended or abandoned for a pertoo of 180 days
❑
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not becom-
LICENSED CONTRACTORS DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9 (cbmmenc-
pleted it the permit is for one hundred ($100) or less. I certify that in the performance of the work for whicl this
-Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
Permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Comp:nsa-
tion Laws of California.
El
Date
Dale Applicant
6; OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for the
(; following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to con-
TO APPLICAN f: If, alter makingthis Certificate of Exemplion. you should become subject to the Wor-ers'.
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit sh. II be
slrucl. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
deemed revoked.
�permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
; (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
-. empi therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
p1 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend. will
{4 mit subjects the applicant to a civil penalty of not more than live hunderd dollars ($500).):
be made in connection with work authorized by this permit. and that no building structure. scaffolding, falsew3rk.
or demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2. Grp 2. Art t. Sec .41,
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
Title 8. C.A.C.).
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
❑As owner -builder. I will not employ anyone to do work which would require a permit from the Division o• In -
Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
his own employees. provided that such improvements are not intended or offered for sale. If, however,
dusirial Safety. as noted above, unless such person has a permit to do such work from the division.
:he
the building or improvement Is sold within one year of completion, the owner -builder will have the burden of prOv-
in
' th t h d'd b 'Id I h
❑Division of Industrial Safety Permit No.
a e I not uI or Improve or 1 e purpose of sale.)
❑I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who
it. builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Con
-
r tractor's License Law.)
14 ,01 am exempt under Sec. . B.& P.C. (Attach Cerhficale).
IRKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
tificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.).
copy is hereby, furnished.
copy is tiled with the County Building Inspection Department or County Department.
APPLICANT NAME (L, F, Mq
PALM DEESERTDEV CO
53980 `AVE VALL EEO
CITY/COMMUN ITYISTATEIZIP
L.A QUINTA CA 922530000
AD�
j 13 �E
R�ESaS�I7Syp�PA/C�E AVE VA���,LEJO9,22!530000
y �j� /► ry �y
LA CITY/C_1 UI�ti►7ZIP CA 7Q�w2!530000
BOK
774
PAG
143
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TRACT NAME
SCV L,AQ422, IDLK-237
(FWV1rE6,Lb1,ERT, DEV COPHONE#
CONTRACTOR -FIRM NAME
LICNC N
ADDRESS
CITYICOMMUN ITY/STATE/ZI P
PHONE#
BLDG. INSPECTOR
FINAL DATE
ARCIENG FIRM NAME
LICNC #
ADDRESS
CITY /COM M U N ITY/STATEIZI P
PLAN N
PLANS EXAMIeE`R, � f '
APPROVE DATE
USE OF PERMIT
GRADING
CI(,(
NC
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CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penor-
mance of the work for which this permit is issued (Sec. 3097. Civ. C.).
Lender's Name
Lender's Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and site
that the information given is correct. I agree to comply with all state laws and county ordinances relating to
building construction, and authorize a representative of the County of Riverside. Department of Building and Saf'•ly
to enter upon,theproperly for which I have applied for this permit for the purpose of making inspections.
Signature of Applicant or Agent Date
Print Applicant/Anent Name
APPL 0 MT 2000212-855N PS DA
000212-855��� �G aait3���2
GRADING PLAN REVIEW FCC
39845
1111111 UU
1
TOTAL
FEE
CA
CI(,(
NC
COUNTER B.I.
COUNTER L.U.T.
PERMIT FOR GRADING PLAN REVIEW
'TOTAL PERMIT COST IS .$10.00
af Latst 0 CU 'YVIS--Cut3 0 Filli 00 Total Moved! 80
. Gr o -al ing Plan Review Fee (based on cubic yids Cut and Filled) irs r $10.00
a
1
„t
��
r
FORM 284.208 (11.81) JP4SPEC OR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T. 0.
OP'N
NO.
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
PERMIT APPLICATION
CounIV of Riverside
optDepartment of Building and Safety
4080 Lemon SI 2nd Floor 135 N Alessandro Rd Sm 203 880 N State Street 227 North ' DStreet 46.209 Oasis St RM 310 160 N Broadway
Riverside, CA 92501 Banning. CA 92220 Hemel CA 92343 Perris, CA 92370 Indio, CA 92201 Blythe CA 92225 #
Ph. 787.6146 Ph 849.7312 Ph 658-4464 Ph 657.3898 Ph 3428271 Ph 922.2670
This permit becomes void it work not commenced within 180 days from date of issuance OR if work has beer suspended or abandoned for a period of 180 days
n CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE This section need not be com-
LICENSED CONTRACTORS DECLARATION. I hereby aflum that I am licensed under provisions of Chapter 9 (comment- pleted d the permit is for one hundred ($100) or less I cerldy that in the performance of the work for whie4 this
Ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensa-
lion Laws of California.
a
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Lawlot the
following reason (Sec. 7031.5, Business and Professions Code Any city or county which requires a permlt to con-
struct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such
permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is ex-
empt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a per-
mit subjects the applicant to a civil penalty of not more than five hunderd dollars ($500).)
❑ I. as owner of the property, or my employees with wages as Their sole compensation, will do the work, and the
structure is not intended or offered lot sale (Sec. 7044, Business and Professions Code. The Contractor's License
Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not intended or offered for sale. II, however,
the building or improvement is sold within one year of completion, the owner -budder will have the burden of prov-
ing that he did notbuild or improve for the purpose of sale.)
Of, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who
builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Con-
tractor's License Law.)
01 am exempt under Sec. .. . _ _- _ _ _ _ B & P.C. (Attach Certificate).
Date_ . - - - - _ Owner. - - - -
WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to sell - insure, or a
certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
❑Cerhl ed copy is hereby furnished
❑Certified copy is filed with the County Budding Inspection Department or Counly Department.
APPLICANT NAME If, F, MI)
ALM DESERT DEV CO
ADDRESS
53980 AVE VALLEJO
CITYICOM MUN ITY/STATE/ZIP
LA QUINTA CA
7/922530000
6y§ldwRESSISPACE AVE VALLEJO
CITY/COMMUNITY/STATE/ZIP
LA QUINTA CA 922530000
BOK
774
PAG
163
PRC
oil
C
I
TWN
0000
RNG
SE
00
S
TRACT LOTMOD
000000 o0i3
01
IS.
TRACT NAME
BLK-2{3+7
88CNN�VNNyyLAA FQQr*22,
!-Wf'I���IM
WAERT, , DEV CO
PHONE #
CONTRACTOR -FIRM NAME
LICNC N
ADDRESS
CITYICOM M UNITY/STATE/ZIP
PHONE N
BLDG. INSPECTOR
FINAL GATE
ARCIENG FIRM NAME
LICNC If
ADDRESS
CITYICOMMU N ITVISTATEIZIP
PLAN N
PLANS EXAMINER
APPROVE DATE
IT
GRADING C.G.c.. - ,.,.�
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T H I S
FORM 284208 (11.81) ASSESSOR
Late - - Applicant - - - -
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be
deemed revoked.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
01 hereby certify that no excavation live (5) or more leet in depth into which a person is required to descend. will
be made in connection with work authorized by this permit, and that no building structure. scaffolding, falsework,
or demolition or dismantling thereof, will be more Than thirty-six (36) lee[ high. (Chap 3.2. Grp 2. Art 2. Sec 341,
Title 8. C.A.C.)
OAS owner -builder. I will not employ anyone to do work which would require a permit from the Division of In-
dustrial Safety, as noted above. unless such person has a permit to do such work from the division.
❑Division of Industrial Safety Permit No.
CONSTRUCTION LENDING AGENCY. I hereby allum that there is a construction lending agency for the perfor-
mance of the work for which this permit is issued (Sec. 3097. Civ C.).
Lender's Name
Lender's Address
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY. I certify I have read this application and slate
that the information given is correct. I agree to comply with all slate laws and county ordinances relating to
building construction, and authorize a representative of the Courity of Riverside. Department of Building and Safety
to enter upon the properly lot which I have applied lot this permit for the purpose of making inspections.
X
Signature of Applicant or Agent Date
Print Albpllcant/Agent Name
APPL/PRMT p PS DATE 39829
� (1 ^ /'\ /1
0002285% G 03/02/82 3 9 yW( 1"J'tJ
TOTAL .
FEE
CA CK NC I COUNTER B.I. COUNTER.L.U•T.
APPLICATION FOR GRADING PLAN REVIEW
I S A N A P P L I C A T I O N O N L Y
AYYLK:ANI.NAMt,(L, F, MI)
PALM ' D�:4)ERY'' MY CO
ADDRESS
53480 AVE VAL.LEJO
CITYICOMMUNITYISTATEIZIP
LA QUINT A CA 922530000
AVEV
bl�?%QdRESSISPACE •: VALLEJO
CITYICOMMUN ITYISTATEIZIP "
.LA QUINTA CA 422530000
BOK
77,4
PAGPRC
163
Q,.
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7
TWN
FIN
000
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00
S
TRACT LOT
000000 001
TOTAL ..
'FEE
MOD
01
SB
CK
TRACT NAME
Bly,'yK-237'
.,o�SG�EEiiV--pq�i,..�A•yyQMM(+�I��rC22`)
"0`WPYbe�"1MEY NE -R•1 ) IDiFV Co
PHONE#
" CONTRACTOR -FIRM NAME
LICNC #
ADDRESS
CITYICOMMUNITYISTATEIZIP . '
PHONE#
BLDG. INSPECTOR-
FINAL DATE
•ARCIENGFIRM NAME
LICNC q
ADDRESS r. '
CITYICOMMUNITYISTATEIZIP .
I'
PLAN•#,•
PLANS EXAMINER
-APPROVE DATE
USE.OF PERMIT• "
GRADING C, .,BL
ZON
AT.%
0i0
0113 BO�
Osp��i.0
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LOTSZ
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APPUPRMT # PS DATE
000228 xG 08/00e� 39829.
L
Y
R
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TOTAL ..
'FEE
, y
CA'
CK
NC
I COUNTER B.I.�•,..
/COUNT ,RL, T'
- .---�s-....�.q..-�"--•�--^•----+--r+—::.+-r.-�a..•.w�:,-w--..--.-.ten. ..--'�-----•^--••--,•_—�--:..� +--...-.,�,.,-.`-
APPLICATION FOR GRADING PLAN REVIEW
,y
a
r •
-INSPECTOR
:FORM 284208(1181)' _. ,
0 N
L
Y
R
I 'Y'
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums & Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets & Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L.
43
Final
10A
Fireplace T.O. ❑
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Batts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
,16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
PSL
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME